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BUILDING PHOTOGRAPHS OM13 No,16W-0008 <br />ELEVATION CERTIFICATE Conunuaflon Page Expiration Date: November 30, 2022 <br />IMPORTANT: In these spaces, copy the corresponding information from Section A. <br />FOR INSURANCE COMPANY USE <br />Building Street Address (including Apt, Unit, Suite, and/or Bldg. No.) or P.D. Route and Box No. <br />Polley Number. <br />3008 Dapple Gray Way <br />City State ZIP Code <br />Company NAIL Number <br />Ellensburg Washington 98926 <br />If submitting more photographs than will fit on the preceding page, affix the additional photographs below. Identify all photographs <br />with: dais taken; 'Front View" and 'Rear View"; and, if required, 'Right Side View" and "Left Side View.' When applicable, <br />photographs must show the foundation with representaflve examples of the flood openings or vents, <br />as indicated in Section A8. <br />zf <br />Grp.•'. <br />- <br />♦•Y '. <br />�..Y� <br />. <br />Pico, 71ga <br />photo Throe Captloii Bad of Houso <br />Clear Pho a 1hm <br />- {,,�_���r'$.3aZ: �-rn�Er'��'L���;"'Ya::4.x;.3e. ��:,"� 1:: ,-,•:., <br />t�t . '. ;'•wa SOr. � <br />'.''".'C�: °��'It.:...''`..rr-•"-y-� �.r..�r._ s��Iv.i:nS�.t±.5[ze: <br />Pho: Four Caption Side of Douse <br />Clear Mato l our <br />rEMA Form 086-0-33 (12119) Replaces all previous editions. Form Page 6 of 6 <br />